| NPI | 1952884751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24696) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 24696) | |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2024-07-02 |